Provider Demographics
NPI:1477818300
Name:NICOLE Y SALAMY DMD PC
Entity Type:Organization
Organization Name:NICOLE Y SALAMY DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:SALAMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-699-2991
Mailing Address - Street 1:111 WASHINGTON ST
Mailing Address - Street 2:P.O. BOX 1658
Mailing Address - City:PLAINVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02762-2155
Mailing Address - Country:US
Mailing Address - Phone:508-699-2991
Mailing Address - Fax:508-699-5692
Practice Address - Street 1:111 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:MA
Practice Address - Zip Code:02762-2155
Practice Address - Country:US
Practice Address - Phone:508-699-2991
Practice Address - Fax:508-699-5692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-06
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN201491223G0001X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty